Organization
UTAH YOUTH VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALON GREEF (PROGAM DIRECTOR)
(801) 272-9980
Entity
Organization
Contact information
Practice address
4388 HARVEST CREEK WAY, RIVERTON, UT 84096-6902
(801) 432-7808
Mailing address
5800 HIGHLAND DR, SALT LAKE CITY, UT 84121-1359
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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